r/MtF • u/Powerful_Resident_61 • 11h ago

Advice Question Weed and hrt

I’m gonna finally be getting hrt soon and I smoke a decent amount of weed and also use edibles for sleeping so was hoping to get some advice on it, cause I heard that smoking can cause hrt to be less effective?
Any advice helps :)

26 Upvotes

91% Upvoted

32 comments sorted by

25

u/The_Only_Worm 11h ago

Smoking tobacco makes E less effective. Weed is probably fine, but there isn’t a lot of studies to back that up.

5

u/Taellosse transfemme (world-weary, but still new to girlhood) 8h ago

Smoking anything is bad for HRT, though the impact is more significant on those taking pills rather than subdermal or injected.

Edibles and sublingual marijuana are fine, though.

2

u/The_Only_Worm 7h ago

Do you have evidence for that? From what I’ve seen, there is a link through the liver, which would be why transdermal estrogen is not impacted by smoking.

https://pubmed.ncbi.nlm.nih.gov/12608008/

For a variety of reasons, weed is a very different drug than tobacco. And I can’t find any evidence that would link it to how the liver processes estrogens. And anecdotally, I’ve heard of tobacco smokers not getting results. I haven’t heard of anyone’s results being limited by weed.

17

u/ShadowDragon6660 Pansexual 11h ago

Yah nicotine isn’t good but weed is fine. Many trans girls smoke pot, myself included.

5

u/LuckyZygote 11h ago

Also, its the nicotine that makes HRT less effective by my understanding. Also with cigarettes people smoke throughout the day, sometimes back to back. While cannabis isnt smoked as heavily, as often. I stopped using nicotine when I started transitioning. There have been a few times over the last 3 years ive bought and smoked a pack of cigarettes stress management style. But I always feel like shit after I smoke, so I always stopped right away. But I never stopped weed, didnt even slow down.

5

u/Which-Permission172 10h ago

My doctor said the biggest thing for hrt and weed was that voice training/sounding feminine would be harder with smoking at the rate I currently do

2

u/focal_matter 8h ago

I switched to dry herb vaping for this reason. So much more gentle on the throat amd lungs

2

u/Which-Permission172 5h ago

Will have to look into that, thanks for the tip

5

u/relentlessreading 9h ago

Straight up - I firmly believe smoking weed helped crack my egg. Feeling closer to myself when high.

My endo said the issue is nicotine, not smoking per se. enjoy!

1

u/viermalinei 7h ago

i was sober when the thought (re)entered my mind (after repping it for 12 years), but it wasn’t until later that night when i got high that my egg was truly obliterated.

1

u/relentlessreading 6h ago

As I’ve broken down the decades of repression, I’ve realized I started seriously repping when I stopped smoking weed. And I always hated getting high in public because of how it made me introspective. I started again when it was legalized and those feelings came back strong.

1

u/CuriousTechieElf Trans Homosexual 11h ago

I have heard that mainly associated with tobacco smoking not weed, but I am not sure.

The first few months on HRT my tolerance for weed went way down, but I was never much of a heavy user. It took even less to get me really stoned than before. My tolerance came back to what it was over my first year, but I have since just decided to quit weed

1

u/Juliannafromspace 10h ago

I smoke like a literal chimney
And I’ve been on for a year and 9 months
I have all the effects of estrogen:3

1

u/AndiGoesWoof HRT - 2016 10h ago

I’ve been on HRT for 10 years and I’m a HEAVY smoker. No issues with effectiveness here.

1

u/Dew97 9h ago

It's mainly about smoking tobacco. It raises the risk for clots, and some studies show it can hinder breast growth. I've been smoking weed almost as long as I've been on E (7 years in January) and haven't had a serious issue other than it making voice training harder. But I also smoke without tobacco, so that's probably relevant

1

u/AdThat1180 9h ago

I've been on hrt since 2023 and I'm okay, not a dr tho.

1

u/Brief-Application243 8h ago

Honestly I feel like I’m behind . And I wonder if it’s because I smoke a lot of thc

1

u/AdTough9290 8h ago

I was a crystal meth addict for 6 months during the first few years of my transition and now I've done over 133 psychoactive chemicals and somehow people say I still pass so I don't know and I smoke weed everyday and have for 5 years I'm also going to college for interdisciplinary psychedelic studies to help people. It's about metabolism of nicotine versus THC which isn't the same.

2

u/Prestigious_Cream669 7h ago

Meth user too, but currently and also due to life struggles. Relationships, money, etc. Ive slowly gone downhill, hrt routine was on and off during a previous relationship I was in, now I've stopped hrt all together for the past 2 months or so.

Figured I might just be better off starting fresh again and tell my endo that I'm facing addiction.

(Not my first time with meth, but definitely longer period of time)

Not sure if its because i know ill be on HRT again very soon or if its the meth thats numbed my dysphoria, but for some reason, I don't feel all that bothered by it.

Ive lost progress no doubt about that, but still not that upset.

Gonna assume the meth has numbed my dysphoria.

Thoughts?

Id actually appreciate it, thanks

1

u/AdTough9290 6h ago

I just pray for you and I hope to God that you find help because that stuff will kill you twin. You don't want to be numb. The fungi and the sacred mimosa tree was gave to us as a way to heal ourselves in times of need. you have to find a way to quit before it's over. I was human trafficked by my own family mostly my cousin and I almost let it get me and then I was touched. Now I own a mycology company and myself that spread blessings to many other broken people. If you want my advice you have to learn how to grow. I would take the money you're going to buy on your next ball of fucking dope and buy a medicinal mushroom syringe and learn it too. Either that or confusa bark or San Pedro, or Hawaiian baby woodrose or literally anything to break you of the cycle you are currently in because it ends with rape and death

1

u/Specific_Tank1756 8h ago

Not a doctor lol I smoke, like a lot, for pain. I have also been on E for about 5 years(im 29) and my doctor is aware. It's not that big of a deal, I absolutely love my results.

1

u/Zorf96 7h ago

It probably isn't helping, but there's many many transfems who smoke and do hrt, and seem pleased with their results. It's probably a very individual thing, your mileage may vary. 

1

u/aleatoryfemme transsexual lesbian 7h ago

weed is fine, cigarettes are bad for you. lots of girls smoke both and their levels and results are fine.

1

u/LGBTDnD 7h ago

I smoke hella weed and my levels are great. You'll be fine

1

u/xsamsworldx 6h ago

Smoking anything increases chances of blood clots but weed I mean should be ok

1

u/iamthatgirl1977 6h ago

Many of us do use marijuana for medicinal purposes................. just saying 😃

1

u/Katievapes1996 1h ago

I'd recommend getting like a dry herb vape that's what I use for mine and I find it much more efficient and effective. I'm on medical cannabis have been for a year and my cities are going through growth recently. I bet on HRT for 7 1/2 years but got my blocker switched coming up on a year ago. It's a good thing it doesn't interfere because I don't know where the fuck I would be without cannabis and I do not even want to think about it.

0

u/MsAbsoluteAngel 11h ago

Smoking tobacco doesn't make it less effective just raises your risk of blood clots which estrogen raises on its own so both is bad. Weed is fine smoke away! ❤️